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Nursing Home Vital Access Provider Assurance Program (VAPAP)

DOH recently announced the Vital Access Provider Assurance Program (VAPAP). Up to $100 million will be made available to support skilled nursing facilities in severe financial distress. The attached document includes a link to the VAPAP application. Additionally, there are three application deadlines:

  • 8/1/22 (for providers who’ve already contacted DOH regarding financial assistance).
  • 11/1/22 (for providers who, by that date, are eligible to apply for financial assistance).
  • 2/1/23 (for providers who, by that date, are eligible to apply for financial assistance).

Eligibility:

  • Defined as an Article 28 (not operated by a county or public benefit corp).

AND

  • Have less than 20 days of cash, as of 12/31/21 (Days of Cash is defined as unrestricted cash and cash equivalents divided by average daily cost of operations (excluding depreciation). This represents the number of days a provider can continue to pay its operating expenses with the current cash it has available.

OR

  • Negative operating margin within the last two complete calendar years.

AND

  • Not currently the subject of known investigation or enforcement action by CMS, the Department of Justice, HHS-OIG, the Office of the Attorney General or the Office of the Medicaid Inspector General.

When completing the VAPAP application, please indicate any CARES Act funding, PPP funding or retention credit funding you may have received on the application’s Supplemental Information page as NYSHFA is requesting that these one-time funds be excluded from the Department’s financial distress calculations.

Specific financial information, as well as strategic initiatives plan, evaluation criteria, review process, and award notice are all outlined in the above supporting document.

Applications and questions should be submitted to NHVAPAP@health.ny.gov.

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36

Stephen B. Hanse, Esq.`
President & CEO
518-462-4800 x11